健康体检者肿瘤筛查结果分析

目的分析健康体检者肿瘤筛查结果。方法排除既往有恶性肿瘤病史的健康体检者15863名进行肿瘤筛查，项目包括临床检查、实验室检查、影像学检查，并结合其他体检项目综合分析结果。分别按年龄、性别和有无相关临床症状分组比较恶性肿瘤检出率及无症状率。统计学分析采用χ^2检验及Fisher确切概率法。结果确诊肿瘤患者475例，其中恶性肿瘤患者116例；低于35岁组合计检出率（0．617％）高于其他年龄组，低于45岁两年龄组颅内肿瘤检出率（分别为0．206％、0．132％）高于其他年龄组，75至85岁组合计检出率（0．248％）低于其他年龄组；肺癌和肝癌的检出率男性（分别为0．228％、0．080％）高于女性，乳腺癌和颅内肿瘤的检出率女性（分别为0．366％、0．100％）高于男性；有67例并无相关临床症状，无症状率达57．8％。结论肿瘤筛查是健康管理工作的重点，需在健康体检人群中积极开展。

An analysis of the result of tumor screening for health examination participants

Objective To analysis the result of tumor screening for health examination participants. Methods Tumor screening was applied for 15 863 health examination participants without malignant tumor disease history. Clinical examination, laboratory tests and imaging studies were comprehensively analysed combining the results of other medical items. The cancer detection rate and asymptomatic rate were compared among groups of different age, gender and existence of relevant clinical symptoms, respectively. χ^22 test and Fisher exact test were adopted for statistical analysis. Results Among 475 tumor patients with a definite diagnosis, 116 were malignant tumor;The total detection rate of the group who were younger than 35 year-old（0. 617% ）was higher than other groups, the detection rate of intracranial neoplasms of the two groups who were younger than 45 year-old （0. 206% and 0. 132% , respectively）was higher than other groups,the total detection rate of 75 - 85 group （0. 248% ） was lower than other groups; The detection rate of lung cancer, liver cancer of the male （0. 228% and 0. 080% , respectively） was higher than the female,The detection rate of breast cancer and intracranial neoplasms of the female （0. 366% and 0. 100% , respectively）was higher than the male; There are 67 patients without correlated clinical symptoms, the asymptomatie rate was 57.8%. Conclusions Tumor screening was of importance in health management,which should be carried out actively in health examination.